| Date of birth: | 1976 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 578903 |
| Photo date: | Oct 13, 2004 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00467112 |
| Booking location: | Polk County, WI |
| Statute: | 940.09(1)(A) F |
| County: | BARRON |
| Convicted: | Aug 19, 2004 |
| Case number: | 04CF00045 |